Finance and Business Strategy

Healthcare News of Note: Medicare to negotiate reduced prices for 40 drugs by 2028, says study

Medicare drug price negotiation has the potential to benefit Medicare beneficiaries across some of the most common disease states.

Deborah Filipek March 23, 2023

Healthcare News of Note: Most board members of the nation’s top hospitals work in finance or business

Less than 15% of board members at a sampling of the nation’s top hospitals are health professionals, while 56% work in finance or business. Since 2014, the number of medically disenfranchised people in the U.S. nearly doubled from 56 million to over 100 million, causing stress for providers and lower rates of immunization and rising…

Deborah Filipek March 17, 2023

David Johnson: Why healthcare’s cupboard is bare — its funding gravy train has run out of steam

Gravy train is a railroad term that originated in the early 1900s. It described a well-paid train run that didn’t require much effort. In modern parlance, speakers use it to describe easy-to-do tasks and cushy situations. The problem with gravy trains is that riding them too long engenders lazy, sloppy and wasteful behaviors. New York…

David W. Johnson March 16, 2023

How to determine appropriate patient status and navigate observation-level care

The financial implications of ensuring appropriate patient status throughout a hospital stay are substantial, so it is in organizations’ interest to enhance the process.

Jeffrey Goode, MD March 16, 2023

Bank failures highlight importance of measuring counterparty risk

The recent failures of Silicon Valley Bank and Signature Bank have focused attention on an often-overlooked issue: bank counterparty risk. From a treasurer’s perspective, banks are much more than account-holding institutions. They provide an array of critical payment and collection services, and the impact of losing access to these services cannot be overstated. The Federal…

Zech Decker March 16, 2023

Why the idea of disruption is so hard for healthcare leaders to understand

It’s time to talk about the word disruption – what it is and what it isn’t – because right now in healthcare it seems to be generating more angst than strategy. First, some good news. Disruption (shorthand for “disruptive innovation”) is just a theory. It’s an idea. That’s all. It was first introduced in the…

Andrew Donahue, FHFMA, CPA March 13, 2023

The media blame game regarding patient financial conversations

Brad Dennison, HFMA chief content executive, discusses the March hfm cover story about patient-friendly payment and what some media organizations get wrong.

Erika Grotto March 13, 2023

Data capture and coding for social determinants of health are works in progress, per reports

In the effort to bring social determinants of health (SDoH) more under the purview of healthcare providers, one tricky aspect is establishing a data and coding infrastructure. Recent reports highlight this challenge. For example, a survey conducted for the American Health Information Management Association (AHIMA) found that although 78% of 2,637 respondents said their organizations…

Nick Hut March 10, 2023

Financial and operational pressures continue for hospitals amid some positive signs

New financial data for the hospital industry illustrate continuing challenges even as some trends improve. Fitch Ratings released an analysis in early March that offers scant reason for optimism. Titled “Early NFP Hospital Medians Show Expected Deterioration; Will Worsen,” it draws on data from hospitals with earlier 2022 financial year-ends. Those numbers show “materially weaker…

Nick Hut March 6, 2023

Healthcare News of Note: New PCORI initiative targets industry’s slowness in adopting results of comparative effectiveness research

Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals.     1. Goal of PCORI initiative: Reduce the estimated 17-year wait time to adopt new and better treatments Forty-two health systems have signed on to an initiative to translate new research into changes in…

Deborah Filipek March 3, 2023
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